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Objetivo: Compreender a relação entre alimentação durante a pandemia da COVID-19 e procrastinação do sono entre docentes e discentes. Metodologia: Estudo transversal, envolvendo docentes e discentes de uma Universidade Estadual da Bahia (n=495). A população foi convidada a participar da pesquisa por meio virtual (e-mail e redes sociais), e foram questionados se houveram mudanças no peso e consumo dos grupos alimentares durante o distanciamento social. O hábito de procrastinar o horário de dormir foi avaliado por meio da Escala de Procrastinação na Hora de Dormir. Para avaliar o padrão de procrastinação do sono foi empregada a Análise Fatorial Exploratória com técnica de análise por componentes principais. Para as análises estatísticas dos dados utilizou-se o Software Stata Versão 12.0. Resultados: Durante o distanciamento social na COVID-19, pode-se observar que, os universitários que procrastinaram o sono apresentaram maior consumo de fast foods (RP= 1,68 IC95% = 1,14-2,49), quando comparados aos que dormiam na hora certa (RP= 0,87 IC95% = 0,82-1,08). Conclusão: Os resultados mostram o aumento da ingestão total de alimentos e consumo de fast food com as dificuldades no início do sono e elevado índice de procrastinação na hora de dormir entre docentes e discentes universitários.

Picture 1. (A) Videolaryngoscopy revealing redness and right vocal fold edema; (B) polypoid lesion covered by non-keratinizing, squamous epithelium, with a chorion with fusiform cells resembling fibroblasts or myofibroblasts (hematoxylin-eosin, 200X).

IntroductionObstructive sleep apnea (OSA) is a respiratory sleep disorder. Many of these patients also exhibit autonomic alterations which can be observed through heart rate variability (HRV). Currently, one of the treatments for apnea is continuous positive airway pressure (CPAP).ObjectiveTo observe OSA patients treated with CPAP exhibit HRV changes at medium and long treatment period.MethodsThis is an integrative literature review conducted in May of 2018. The databases used for this research were PubMed, Scopus, Scielo and Pedro, the keywords used were “heart rate variability”, “obstructive sleep apnea” and “CPAP”. In this review was included original, published, randomized and non-randomized articles, released in the English language, before and up to April 2018, which specified the effects of CPAP therapy in autonomic dysfunction through the analysis of the HRV of patients diagnosed with OSA after at least one month of therapy.ResultsThe research of the literature produced 113 articles. After excluding duplicates and applying the inclusion and exclusion criteria, 8 articles were selected for this review.ConclusionIt was concluded that CPAP therapy is related to change in heart rate variability in patients with obstructive sleep apnea.

Introduction: obstructive Sleep Apnea Syndrome (OSAS) is a serious confition that compromises the quality of life and survival of patients. Its main risk fator in adults is obesity and the gold standard test for diagnosis is polysomnography (PSG), mainly through the apneia-hypopnea index (AHI). Objective: to analyze the sleep pattern of obese patients with indication for bariatric surgery, determining the main polisomnographic parameters compromised by obesity. Methods: This work is a cross-sectional study with analysis of polysomnography perfomed in patients with obesity in the peroperative period of bariatric surgery at a clinic in Vitória da Conquista/BA during 2017. The Epi Info 7 platform was used for analysis of the data. Results: 58 polysomnographic reports were analyzed, with 56,9% morbdly obese and 43,1% non-morbid. The prevalence of OSAS was 70,68% and de AHI ranged from zero to 84,6 with a mean of 19,47±22,89 e/h. morbidly obese, compared to “non-morbid”, had a longer saturation time below 80% and 90% (0,4±0,93 vs. 0,12±0,45 e 4,87±7,38 vs. 1,36±2,87 respectively; p-value=0,02 in both), worse index respiratory disorders ((29,24±25,36 vs. 16,88±16,21; p-value=0,02), higher AHI (24,71±25,68 vs. 12,56±16,67; p-value=0,02), higher hypopnea index values (16,41±17,10 vs. 6,99±8,52; p-value=0,006) and lower minimum saturation (78,24±9,80 vs. 85,24±6,33; p-value=0,004). Conclusions: the high prevalence of OSAS found confirms its indication in the preoperative period of bariatric surgery. The main respiratory event involved in most individuals with OSAS was the hypopnea index.